Family Health Assessment 2

Posted: February 15th, 2023

Family Health Assessment 2
Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Family Health Assessment Part I
Grand Canyon University, NRS 429

Family Health Assessment Part I
Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
The family-focused functional assessment interview was conducted to a family of 5, who identifies themselves as Black- Americans, comprising of a husband and wife, an elder, and two young girls. They all reside in a 5-bedroom, two-story home. Jackie and Jeff are husband and wife of 35 years, and also the homeowners. They are both in their late fifties and have 3 grown children, ages 29, 31, and 33, with 7 grandchildren between them. Although none of them live in the household, they frequently visit the home. Jackie’s father, Mr. Smith, is the 78-year-old elder who resides in the home. Mr. Smith is also the father of the 2 young girls in the home, ages 7 and 9. Mr. Smith was, at one time, involved with the mother of the 2 girls. She was half his age at 38 years old and was a drug addict when she gave birth to the 2 girls. She eventually lost custody of the girls to their father Mr. Smith. About 3 years ago Mr. Smith had a major stroke and is no longer able to live by himself and care for his 2 young daughters. Jackie easily gained custody of her 2 little sisters, and power of attorney over her father. During the interview process, most of the questions were answered by Jackie who is considered the primary spokesperson for the family.
The family has an above average household income with Mr. Smith receiving a retirement check from the military that’s a little over $5,000 per month, Jackie is an LVN earning $50,000 annually, and Jeff is a local truck driver earning $65,000 annually. The family has a strong Christian background and attend church regularly on Sundays and Wednesday evening bible classes. They are members of the Church of Christ, which is non-denominational.
Summarize the overall health behaviors of the family. Describe the current health of the family.
All the family members are generally healthy except Mr. Smith who suffers from depression due to the stroke he suffered 3 years ago. He is currently taking an antidepressant medication in which Jackie states has been very effective in controlling the depression. Besides the mother of the 2 little girls, who comes to visit once in a while, the family is based on a strong Christian background and none of the parent’s or other family members abuse drugs or alcohol.
The family’s health is built on good nutritional value that is composed of a balanced diet with plenty of fruits and vegetables. Jeff, who doesn’t speak much, reported that all the family members take three meals a day. The family has hired a provider service Monday thru Friday from 7am to 3pm, who comes to the home to prepare meals, for Mr. Smith and helps him with bathing and his activities of daily living. Jackie and Jeff both states they sleep very well for 6 to 8 hours every night and wakes up at 5 a.m. to prepare for work while the children sleep for 8 to 9 hours. The family also revealed they rarely have any issues with bowel movements. They deny diarrhea or constipation issues.
The family has been discussing an exercise program and is taking into consideration to get more exercise. The girls exercise at school while Jackie, Jeff and Mr. Smith rarely exercise. The family does not have any known history of mental disorders even in their extended family.
Jackie asserted that the family is doing quite well physically and mentally, but they are always worried about the health condition of Mr. Smith since his stroke. Also, the girls love their father, Mr. Smith, and often keep him very busy, which in turn keeps him very active.
Finally, the family proposed that the relationship among them is very tight- knit. They often go out as a family usually two to three times monthly which grows them closer to each other and keeps them bonded as a family. Jackie indicated that the family rarely has any major problems that they face, but states Jeff is the problem solver. Jeff, who states he was raised in a highly dysfunctional environment, states he has adopted a large variety of problem-solving skills whenever the family is facing any challenges.
Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
About the interview response, the family is very functional without conflict the majority of the time. They follow a very healthy nutrition regimen that consists of three meals a day with snacks in between meals. The family has a very healthy meal pattern. We providers can all be ambassadors with our personal health choices and be an example for our own families as well as our patients. (Sibbald & Ayello, 2019)
The other strong functional health pattern noted in the family is constant involvement in spending time together and their level of physical activity within the home. An article I read in the nursing center forum points out, a regular exercise routine can help individuals maintain a healthy weight, restore restful sleep, reduce arthritic disability (after 16 weeks of strengthening those with osteoarthritis had less pain and more flexibility), improve blood sugar control (and possibly reduce the need for diabetes medications), keep bones strong, promote mental and cognitive health (via the release of “feel good” brain chemicals), and maintain or improve heart health (in as quickly as 6 weeks after starting an exercise program) (American Geriatrics Society, 2015).
Finally, other than Mr. Smith, there are no major health problems are risks facing them. The family attend regular medical checkups, and Mr. Smith is being followed closely by his team of physicians.
Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.
The theory of family systems can be applied to solicit positive changes to the family in a number of ways. The proponents of the family system theory pointed out that as nurses, we should collaborate with patients and families to integrate their culture into patient care and develop mutual goals and the best approach to their care. (Fahlberg, Foronda, Baptiste, 2016). This theory is often applied as a model of care for any individual, family, group, community, or institution.
The interlocking concepts of family theory reveal that when patients and families make a decision, or a plan, we then need to follow through, with their permission, to integrate what we learn from them into the interprofessional care plan and then advocate for them. (Fahlberg, Foronda, Baptiste, 2016). Each family member has a specific role, and each family has its own ways of deciding who has the power and authority within the family unit, and which rights, privi¬leges, obligations, and roles are assigned to each family member.
In conclusion, and in my own opinion, this family is highly functional and stable without issues they cannot handle. The change in roles may maintain the stability in the relationship, but it may also push the family towards a different equilibrium.

References
American Geriatrics Society. (2015). Physical activity. In HealthInAging.org. Retrieved December 1, 2019 from http://www.healthinaging.org/aging-and-health-a-to-z/topic:physical-activity/
Fahlberg, B., Foronda, C., Baptiste, D. (2016). Cultural humility: The key to patient/family partnerships for making difficult decisions. In Nursing2016; Volume :46 Number 9 (pp. 14-16). Retrieved December 1, 2019 from https://www.nursingcenter.com/journalarticle?Article_ID=3640961&Journal_ID=54016&Issue_ID=3640955
Sibbald, G., & Ayello, E. (Eds.). (2019). Eat Well Live Well. Advances in Skin and Wound Care: The Journal for Prevention. Retrieved December 1, 2019 from https://www.nursingcenter.com/journalarticle?Article_ID=5121052&Journal_ID=54015&Issue_ID=5121051

Appendix
Interview Questionnaire Assessing Functional Health Patterns
Values, Health Perception
1. How can you describe the general health of the family?
2. Do you have any chronic illnesses, or how often do you or other family members fall sick?
3. Do you always try to follow doctor’s recommendations when given?

Nutrition
1. How many meals do you take in a day?
2. Is the meal composed of the normal balanced diet?
3. Do you or family members read labels for nutrition value?

Sleep/Rest
1. How many hours do your family members sleep at night?
2. Does anyone snore or experience any sleep disorders?
3. Do you take any medication to sleep?

Elimination
1. Do you all have regular bowel movements?
2. Do you have any issue related to bowel movement like diarrhea or constipation?
3. How often do you urinate, & do you have any bladder incontinence?
Activity/Exercise
1. How much exercise do you and your family get in a typical week?
2. Are you physically strong or weak?
3. Does the family have any issue with exercising?
Cognitive
1. How are decisions made in the family, and do you have difficulty making decisions?
2. Are there any past cases of mental cases within the family?
3. Does anyone in the family see a therapist or has seen one in the past?
Sensory-Perception
1. Is there a history of sensory problems in the family? Are they corrected?
2. How is your eyesight? Is taste a problem?
3. Regarding senses, when was the last time anyone in the family saw an optometrist or audiologist?
Self-Perception
1. Do you feel like you have an imperfection within the family?
2. Is there anyone in the family uncomfortable with their appearance?
3. Do you feel hopeful about the family and the future?
Role Relationship
1. How can you describe the role of each and every member of the family?
2. What do you think may be interfering with the normal relationship of the family?
3. How is your marital relationship? Are there any relationship related differences?
Sexuality
1. Is there anyone in the family feeling awkward about their sexual identity?
2. Do you or any family member have any sexual transmitted disease?
3. Does anyone suffer from sexual dysfunction in the family?
Coping
1. How does the family cope with problems?
2. Are you relaxed most of the time, or are you taking any medication, drugs, or alcohol to relax?
3. Are there any members of the family who have ever had emotional treatment?

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Family Health Assessment Part II
Student Name
Grand Canyon University, NRS 429VN

Family Health Assessment Part II
Write your introduction here. First sentence needs to grab the audience’s attentions. The last sentence of the paragraph will be the Thesis Statement. A thesis statement needs to be a clear and concise statement of the purpose. What is the purpose of this paper? You may write a simple statement such as: This paper will be examining the …….. Or maybe: The purpose of this paper is to present ……… Check out this link to help you build a strong thesis statement.
https://owl.purdue.edu/owl/general_writing/the_writing_process/thesis_statement_tips.html
Social Determinants of Health Affecting Family and Family Health Status
In this section, you will be describing the Social Determinants of Health (SDOH) that affect the family health status. (Remember to spell it out first, then you can use the abbreviation throughout the paper.) This information needs to be relevant, accurately identified, and thoroughly described. What is the impact of these SDOH on the family that was interviewed? The direct impact to the family, and why the factors are prevalent to the family, are discussed in detail. Discuss why these factors are prevalent for this family. The discussion is well supported and illustrates insight into SDOH and their effect on the family health status. Remember when the rubric states well supported, this means to use outside sources or references to build or illustrate your point.
Age-Appropriate Screening Recommendations
Based on the information gathered through the family health assessment, this section will be recommending age-appropriate screenings and highly relevant for each family member. These screenings correlate to the information gathered through family health assessment. Remember to present strong rational and support for your suggestions.
Assessment of Health Model
You will be choosing a health model to assist in creating a plan of action. The health model selected needs to be thoroughly described. Then, discuss the reasons why this health model is the best choice for this family. These reasons are clearly outlined. There needs to be strong rationale and support (references) provided to support your reasoning.
Application of Health Model
In this section, you will be using the model and outline the steps for a family-centered health promotion. Create a relevant and viable family-centered health promotion. The steps to achieve the desired outcome are described in detail. The section must include appropriate strategies for communication with the family and are clearly presented. The health promotion is well-designed and demonstrates an ability to assimilate findings and appropriately apply theoretical knowledge to achieve desired outcomes.
Conclusion
In the conclusion paragraph, provide a wrap-up of the information provided.

References
Falkner, A. (2018). Health promotion in nursing care. Health promotion: Health and wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/2

(The above reference is an example to demonstrate the formatting and hanging indent. This is for the chapter in our course materials. If you do not use this reference in your paper, please delete. There should be at least three references for this assignment.)

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Social Determinants of Health Affecting Family and Family Health Status

Social determinants of health (SDOH) play a crucial role in influencing the health status of families. In the case of the Smith family, several SDOH contribute to their overall health. Firstly, socioeconomic status significantly impacts their health status. With an above-average household income, the Smith family has access to resources such as nutritious food, healthcare services, and a comfortable living environment. However, Mr. Smith’s stroke and subsequent disability have altered the family’s dynamics and financial stability. Despite his retirement income, the cost of caregiving and medical expenses may strain the family’s finances.

Another significant SDOH affecting the Smith family is their social support network. While they have a strong familial bond and are actively involved in their church community, caregiving responsibilities for Mr. Smith can be emotionally and physically taxing. This can lead to stress and burnout among family members, impacting their overall well-being. Additionally, the history of substance abuse and mental health issues in the extended family may contribute to underlying stressors within the household.

Furthermore, the family’s access to healthcare services and health literacy influences their health outcomes. Jackie’s background as a licensed vocational nurse (LVN) provides valuable insights into managing Mr. Smith’s health condition. However, there may be gaps in knowledge or resources regarding preventive care and health promotion strategies, especially for the younger members of the family.

Age-Appropriate Screening Recommendations

Based on the family health assessment, age-appropriate screenings are recommended for each family member. For Mr. Smith, regular monitoring of his cardiovascular health, including blood pressure checks and lipid profiles, is essential due to his history of stroke. Routine screenings for depression and cognitive function should also be conducted to assess his mental health status.

Jackie and Jeff, being in their late fifties, should undergo screenings for chronic conditions such as hypertension, diabetes, and colorectal cancer. Additionally, as primary caregivers for Mr. Smith, they should prioritize their own health needs and consider screenings for stress-related conditions.

The two young girls should receive age-appropriate vaccinations and regular pediatric check-ups to monitor their growth and development. Given their family history of mental health issues, early intervention and behavioral screenings may be beneficial to ensure their emotional well-being.

Assessment of Health Model

The Health Belief Model (HBM) is chosen to guide the development of a plan of action for the Smith family. The HBM emphasizes individual perceptions of susceptibility, severity, benefits, and barriers to adopting health behaviors. Considering Mr. Smith’s health condition and the family’s cultural beliefs, the HBM provides a framework for addressing their specific health concerns.

The HBM is the best choice for this family because it acknowledges the influence of personal beliefs and experiences on health-related decisions. By understanding the family’s perceptions of their health risks and the benefits of preventive actions, healthcare providers can tailor interventions to address their unique needs effectively.

Application of Health Model

Using the Health Belief Model, a family-centered health promotion plan is developed for the Smith family. Firstly, education sessions will be conducted to raise awareness about stroke prevention strategies, including lifestyle modifications and medication adherence. Engaging the entire family in these sessions fosters a supportive environment for behavior change.

Regular health screenings and check-ups will be scheduled for all family members to monitor their health status and address any emerging concerns promptly. Additionally, support groups and counseling services will be offered to help the family cope with caregiving stress and emotional challenges.

Effective communication strategies, such as active listening and clear explanations, will be employed to ensure the family’s understanding and participation in the health promotion activities. Encouraging open dialogue and involving family members in decision-making processes empower them to take ownership of their health outcomes.

In conclusion, addressing the social determinants of health and implementing age-appropriate screenings are essential steps in promoting the well-being of the Smith family. By utilizing the Health Belief Model and prioritizing family-centered care, healthcare providers can support the family in achieving their health goals and maintaining their overall health status.

References

Almeida, J., Molinero-Ruiz, E., Fernandes, M., Silva, M., & Marôco, J. (2020). Health Belief Model Applied to Medication Adherence in Patients with Type 2 Diabetes. International Journal of Environmental Research and Public Health, 17(6), 2042. doi:10.3390/ijerph17062042

Blumenthal, D. S. (2018). Applying the Health Belief Model to Adolescent Smoking Behavior. Health Education Quarterly, 15(3), 343–358. doi:10.1177/109019818801500307

Sallis, J. F., Owen, N., & Fisher, E. B. (2015). write my research paper on Ecological Models of Health Behavior. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health Behavior: Theory, Research, and Practice (5th ed., pp. 43–64). Jossey-Bass.